Provider Demographics
NPI:1003807363
Name:TRAN, THU NGOC (MD)
Entity Type:Individual
Prefix:
First Name:THU
Middle Name:NGOC
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-8339
Practice Address - Street 1:9420 KEY WEST AVE STE 415
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6327
Practice Address - Country:US
Practice Address - Phone:301-279-9400
Practice Address - Fax:301-309-2428
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2023-12-05
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Provider Licenses
StateLicense IDTaxonomies
MDD0040627207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD317221000Medicaid
MD317221000Medicaid
MD000F58C21Medicare PIN